MBForm Surname First-Name

BSP Form No. 17 (Rev.
07-24-12)
BOY SCOUTS OF THE PHILIPPINES

National Office
Manila
MERIT BADGE APPLICATION
Date January 12, 2019 5

(Date of Merit Badge Application is applied for)
I, hereby certify that I have been a holder of

(Scout’s complete name in block letters)
the MEMBERSHIP since DECEMBER 2018 that I am a member of
(Date passed the Board of Review)
, , ANTIPOLO CITY Council, and that I am qualified to
(Troop / Outfit No.) (Sponsoring Institution)
work on the requirements for the SAFETY Merit Badge.
(Signature over Printed Name)
APPROVED:
(Signature over Printed Name of Troop Leader / Outfit Advisor)

NOTE: Upon signing this Merit Badge Application, the Troop Leader /Outfit Advisor recommends and sets an appointment with
an accredited/certified Merit Badge Counselor on specified dates of Merit Badge Counseling/Examination.
MERIT BADGE COUNSELING APPOINTMENT
Merit Badge Requirements / Projects Submitted and Troop Leader/ Merit Badge Counselor
Completed Outfit Advisor Signature
Date of 1st Meeting:
January 12, 2019
Date of 2nd Meeting:

_______________
Date of 3rd Meeting:

(Optional when
requirements are NOT
nd
satisfied during the 2
Meeting)
NOTE: This portion MUST filled-out by the Scout who appears before the Merit Badge Counseling/Examination and MUST be
signed by the Troop Leader / Outfit Advisor and the Merit Badge Counselor as proof of completion for Merit Badge requirements.
MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE
THIS IS TO CERTIFY that the above-named Scout personally appeared before the undersigned and that after a careful
examination of said Scout on the subject, has satisfactorily passed the test for SAFETY.
January 18, 2019 ANNA MARGARITA CARIDA

(Date Passed the Merit Badge (Signature over Printed Name of Merit Badge Counselor)
Requirements)
NOTE: Do not examine Scout unless application is approved by the Troop Leader / Outfit Advisor. Only certified
Advancement Counselors are authorized to sign his certificate.
BSP Form No. 17 (Rev. 07-24-12)

National Office
Manila
Date February 20, 20195


the MEMBERSHIP since DECEMBER 2018 that I am a member of
work on the requirements for the CITIZENSHIP IN THE HOME Merit Badge.
APPROVED:

______________

_______________

(Optional when
nd
Meeting)
examination of said Scout on the subject, has satisfactorily passed the test for CITIZENSHIP IN THE HOME.
February 24, 2019 (PARENT)

Requirements)
BSP Form No. 17 (Rev. 07-24-12)

National Office
Manila
Date August 5, 20195


the EXPLORER since MAY 2019 that I am a member of
work on the requirements for the CITIZENSHIP IN THE COMMUNITY Merit Badge.
APPROVED:

______________

_______________

(Optional when
nd
Meeting)
examination of said Scout on the subject, has satisfactorily passed the test for CITIZENSHIP IN THE COMMUNITY.
August 10, 2019 GHIO GATLABAYAN

Requirements)
BSP Form No. 17 (Rev. 07-24-12)

National Office
Manila
Date September 5, 20195


work on the requirements for the FILIPINO HERITAGE Merit Badge.
APPROVED:

______________

_______________

(Optional when
nd
Meeting)
examination of said Scout on the subject, has satisfactorily passed the test for FILIPINO HERITAGE.
September 9, 2019 MIGUEL DM. MANIPON

Requirements)
BSP Form No. 17 (Rev. 07-24-12)

National Office
Manila


work on the requirements for the FIRST AID Merit Badge.
APPROVED:

______________

_______________

(Optional when
nd
Meeting)
examination of said Scout on the subject, has satisfactorily passed the test for FIRST AID.
September 15, 2019 ASHLEY MAE DELA CRUZ

Requirements)
BSP Form No. 17 (Rev. 07-24-12)

National Office
Manila
Date August 15, 20195


work on the requirements for the TREE FARMING Merit Badge.
APPROVED:

______________

_______________

(Optional when
nd
Meeting)
examination of said Scout on the subject, has satisfactorily passed the test for TREE FARMING.
August 25, 2019 HANJING TING

Requirements)
BSP Form No. 17 (Rev. 07-24-12)

National Office
Manila
Date November 5, 20195


the PATHFINDER RANK since OCTOBER 2019 that I am a member of
work on the requirements for the CITIZENSHIP IN THE NATION Merit Badge.
APPROVED:

______________

_______________

(Optional when
nd
Meeting)
examination of said Scout on the subject, has satisfactorily passed the test for CITIZENSHIP IN THE NATION.
November 9, 2019 GHIO GATLABAYAN

Requirements)
BSP Form No. 17 (Rev. 07-24-12)

National Office
Manila


work on the requirements for the PHYSICAL FITNESS Merit Badge.
APPROVED:

______________

_______________

(Optional when
nd
Meeting)
examination of said Scout on the subject, has satisfactorily passed the test for PHYSICAL FITNESS.
November 9, 2019 JHON LLERIN

Requirements)
BSP Form No. 17 (Rev. 07-24-12)

National Office
Manila
Date January 10, 20205


work on the requirements for the SWIMMING Merit Badge.
APPROVED:

______________

_______________

(Optional when
nd
Meeting)
examination of said Scout on the subject, has satisfactorily passed the test for SWIMMING.
January 19, 2020 JHON LLERIN

Requirements)
BSP Form No. 17 (Rev. 07-24-12)

National Office
Manila
Date January 11, 20205


work on the requirements for the SOIL & WATER CONSERVATION Merit Badge.
APPROVED:

______________

_______________

(Optional when
nd
Meeting)
examination of said Scout on the subject, has satisfactorily passed the test for SOIL & WATER CONSERVATION.
January 15, 2020 HANJING TING

Requirements)
BSP Form No. 17 (Rev. 07-24-12)

National Office
Manila
Date December 8, 20195


work on the requirements for the WEATHER Merit Badge.
APPROVED:

______________

_______________

(Optional when
nd
Meeting)
examination of said Scout on the subject, has satisfactorily passed the test for WEATHER.
December 12, 2019 IAN MONTEDERAMOS

Requirements)
BSP Form No. 17 (Rev. 07-24-12)

National Office
Manila


the OUTDOORSMAN RANK since MAY 2020 that I am a member of
work on the requirements for the CAMPING Merit Badge.
APPROVED:

______________

_______________

(Optional when
nd
Meeting)
examination of said Scout on the subject, has satisfactorily passed the test for CAMPING.
September 25, 2020 MIGUEL DM. MANIPON

Requirements)
BSP Form No. 17 (Rev. 07-24-12)

National Office
Manila


work on the requirements for the EMERGENCY PREPAREDNESS Merit Badge.
APPROVED:

______________

_______________

(Optional when
nd
Meeting)
examination of said Scout on the subject, has satisfactorily passed the test for EMERGENCY PREPAREDNESS.
September 26, 2020 ANNA MARGARITA CARIDA

Requirements)
BSP Form No. 17 (Rev. 07-24-12)

National Office
Manila
Date October 5, 20205


work on the requirements for the SPECIALIST Merit Badge.
APPROVED:

______________

_______________

(Optional when
nd
Meeting)
examination of said Scout on the subject, has satisfactorily passed the test for SPECIALIST.
October 10, 2020

Requirements)
BSP Form No. 17 (Rev. 07-24-12)

National Office
Manila
Date October 12, 20205


APPROVED:

______________

_______________

(Optional when
nd
Meeting)
October 19, 2020

Requirements)
BSP Form No. 17 (Rev. 07-24-12)

National Office
Manila


APPROVED:

______________

_______________

(Optional when
nd
Meeting)
November 24, 2020

Requirements)

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BSP Form No. 17 (Rev.

BOY SCOUTS OF THE PHILIPPINES

MERIT BADGE APPLICATION

Date January 12, 2019 5

I, hereby certify that I have been a holder of

(Signature over Printed Name)

(Signature over Printed Name of Troop Leader / Outfit Advisor)

MERIT BADGE COUNSELING APPOINTMENT

Date of 2nd Meeting:

Date of 3rd Meeting:

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

January 18, 2019 ANNA MARGARITA CARIDA

BOY SCOUTS OF THE PHILIPPINES

MERIT BADGE APPLICATION

Date February 20, 20195

I, hereby certify that I have been a holder of

(Signature over Printed Name)

(Signature over Printed Name of Troop Leader / Outfit Advisor)

MERIT BADGE COUNSELING APPOINTMENT

Date of 2nd Meeting:

Date of 3rd Meeting:

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

February 24, 2019 (PARENT)

BOY SCOUTS OF THE PHILIPPINES

MERIT BADGE APPLICATION

Date August 5, 20195

I, hereby certify that I have been a holder of

(Signature over Printed Name)

(Signature over Printed Name of Troop Leader / Outfit Advisor)

MERIT BADGE COUNSELING APPOINTMENT

Date of 2nd Meeting:

Date of 3rd Meeting:

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

August 10, 2019 GHIO GATLABAYAN

BOY SCOUTS OF THE PHILIPPINES

MERIT BADGE APPLICATION

Date September 5, 20195

I, hereby certify that I have been a holder of

(Signature over Printed Name)

(Signature over Printed Name of Troop Leader / Outfit Advisor)

MERIT BADGE COUNSELING APPOINTMENT

Date of 2nd Meeting:

Date of 3rd Meeting:

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

September 9, 2019 MIGUEL DM. MANIPON

BOY SCOUTS OF THE PHILIPPINES

MERIT BADGE APPLICATION

Date September 8, 20195

I, hereby certify that I have been a holder of

(Signature over Printed Name)

(Signature over Printed Name of Troop Leader / Outfit Advisor)

MERIT BADGE COUNSELING APPOINTMENT

Date of 2nd Meeting:

Date of 3rd Meeting:

MERIT BADGE COUNSELOR’S COMPLETION CERTIFICATE

September 15, 2019 ASHLEY MAE DELA CRUZ

BOY SCOUTS OF THE PHILIPPINES

MERIT BADGE APPLICATION

Date August 15, 20195

I, hereby certify that I have been a holder of

(Signature over Printed Name)

(Signature over Printed Name of Troop Leader / Outfit Advisor)

MERIT BADGE COUNSELING APPOINTMENT